Individual
CASSANDRA RELIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 748-1951
Mailing address
9687 S LUELLA AVE, CHICAGO, IL 60617-4819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16602
—
IL
Enumeration date
01/06/2023
Last updated
01/06/2023
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